Active NPI
Boulder Nutrition & Exercise Services, LLC
- Registered Dietitian
- Boulder, CO
National Provider Identifier
1336322320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 925549
- Legal business name
- BOULDER NUTRITION & EXERCISE SERVICES, LLC
- Practice address
- 2900 Valmont Rd Ste G
Boulder, CO 80301-1344 - Phone
- (303) 440-1015
- Fax
- (303) 440-8998
- NPI assigned
- Dec 12, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Katie Doran Filkins, RD
- Title
- Owner/ Founder
- Phone
- (303) 440-1015
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 925549 | CO | Primary |
| Registered Dietitian | 133V00000X | 932302 | CO | |
| Registered Dietitian | 133V00000X | 12905 | CO | |
| Registered Dietitian | 133V00000X | 972797 | CO | |
| Registered Dietitian | 133V00000X | 1048357 | CO |
Addresses
Primary practice location
2900 Valmont Rd Ste G
Boulder, CO 80301-1344
Mailing address
2900 Valmont Rd Ste G
Boulder, CO 80301-1344
Phone (303) 440-1015
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1048357 | Other | CO | CDR |
| 12905 | Other | CO | CDR REGISTRATION |
| 932302 | Other | CO | CDR REGISTRATION |
| 925549 | Other | CO | CDR REGISTRATION |
| 972797 | Other | CO | CDR REGISTRATION |
National Provider Directory
National Provider DirectoryLocations
2900 Valmont Rd
Ste G
Boulder, CO 80301
Phone (303) 440-1015
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197417600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1321401600000",
"number": "1336322320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2900 VALMONT RD STE G",
"city": "BOULDER",
"state": "CO",
"postal_code": "803011344",
"telephone_number": "303-440-1015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2900 VALMONT RD STE G",
"city": "BOULDER",
"state": "CO",
"postal_code": "803011344",
"telephone_number": "303-440-1015",
"fax_number": "303-440-8998"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BOULDER NUTRITION & EXERCISE SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-12",
"last_updated": "2011-11-16",
"status": "A",
"authorized_official_last_name": "FILKINS",
"authorized_official_first_name": "KATIE",
"authorized_official_middle_name": "DORAN",
"authorized_official_title_or_position": "OWNER/ FOUNDER",
"authorized_official_telephone_number": "303-440-1015",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "RD"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": "CO",
"license": "925549",
"primary": true
},
{
"code": "133V00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": "CO",
"license": "932302",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": "CO",
"license": "12905",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": "CO",
"license": "972797",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": "CO",
"license": "1048357",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDR",
"identifier": "1048357",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDR REGISTRATION",
"identifier": "12905",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDR REGISTRATION",
"identifier": "932302",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDR REGISTRATION",
"identifier": "925549",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDR REGISTRATION",
"identifier": "972797",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.